Honoka'a Hospital and Skilled Nursing Facility

All Charges

Charge

Type

Setting

Price

DRILL BIT 4.3X196 705078

Facility

$1,013.00

Hospital Revenue Code	272
Min. Negotiated Rate	$506.50
Max. Negotiated Rate	$982.61
Rate for Payer: AlohaCare Medicaid	$506.50
Rate for Payer: AlohaCare Medicare	$769.88
Rate for Payer: Cash Price	$607.80
Rate for Payer: Devoted Health Medicare	$850.92
Rate for Payer: Hawaii Medical Service Association Medicare	$769.88
Rate for Payer: Hawaii Western Management Group Commercial	$962.35
Rate for Payer: Health Management Network Commercial	$861.05
Rate for Payer: Humana Medicare	$769.88
Rate for Payer: Kaiser Permanente Commercial	$911.70
Rate for Payer: Kaiser Permanente Medicaid	$516.63
Rate for Payer: Kaiser Permanente Medicare	$769.88
Rate for Payer: MDX Hawaii PPO	$982.61
Rate for Payer: Ohana Health Plan Medicaid	$769.88
Rate for Payer: Ohana Health Plan Medicare	$769.88
Rate for Payer: UnitedHealthcare Medicare	$769.88
Rate for Payer: University Health Alliance Commercial	$738.38

DRILL BIT 4.3X216 SHRT 705043

Facility

$1,024.00

Hospital Revenue Code	272
Min. Negotiated Rate	$512.00
Max. Negotiated Rate	$993.28
Rate for Payer: AlohaCare Medicaid	$512.00
Rate for Payer: AlohaCare Medicare	$778.24
Rate for Payer: Cash Price	$614.40
Rate for Payer: Devoted Health Medicare	$860.16
Rate for Payer: Hawaii Medical Service Association Medicare	$778.24
Rate for Payer: Hawaii Western Management Group Commercial	$972.80
Rate for Payer: Health Management Network Commercial	$870.40
Rate for Payer: Humana Medicare	$778.24
Rate for Payer: Kaiser Permanente Commercial	$921.60
Rate for Payer: Kaiser Permanente Medicaid	$522.24
Rate for Payer: Kaiser Permanente Medicare	$778.24
Rate for Payer: MDX Hawaii PPO	$993.28
Rate for Payer: Ohana Health Plan Medicaid	$778.24
Rate for Payer: Ohana Health Plan Medicare	$778.24
Rate for Payer: UnitedHealthcare Medicare	$778.24
Rate for Payer: University Health Alliance Commercial	$746.39

DRILL BIT 4.3X216 SHRT 705043

Facility

$1,024.00

Hospital Revenue Code	272
Min. Negotiated Rate	$870.40
Max. Negotiated Rate	$993.28
Rate for Payer: Cash Price	$614.40
Rate for Payer: Health Management Network Commercial	$870.40
Rate for Payer: Kaiser Permanente Commercial	$921.60
Rate for Payer: MDX Hawaii PPO	$993.28

DRILL BIT 4.3X300 02.00024.003

Facility

$1,015.00

Hospital Revenue Code	272
Min. Negotiated Rate	$507.50
Max. Negotiated Rate	$984.55
Rate for Payer: AlohaCare Medicaid	$507.50
Rate for Payer: AlohaCare Medicare	$771.40
Rate for Payer: Cash Price	$609.00
Rate for Payer: Devoted Health Medicare	$852.60
Rate for Payer: Hawaii Medical Service Association Medicare	$771.40
Rate for Payer: Hawaii Western Management Group Commercial	$964.25
Rate for Payer: Health Management Network Commercial	$862.75
Rate for Payer: Humana Medicare	$771.40
Rate for Payer: Kaiser Permanente Commercial	$913.50
Rate for Payer: Kaiser Permanente Medicaid	$517.65
Rate for Payer: Kaiser Permanente Medicare	$771.40
Rate for Payer: MDX Hawaii PPO	$984.55
Rate for Payer: Ohana Health Plan Medicaid	$771.40
Rate for Payer: Ohana Health Plan Medicare	$771.40
Rate for Payer: UnitedHealthcare Medicare	$771.40
Rate for Payer: University Health Alliance Commercial	$739.83

DRILL BIT 4.3X300 02.00024.003

Facility

$1,015.00

Hospital Revenue Code	272
Min. Negotiated Rate	$862.75
Max. Negotiated Rate	$984.55
Rate for Payer: Cash Price	$609.00
Rate for Payer: Health Management Network Commercial	$862.75
Rate for Payer: Kaiser Permanente Commercial	$913.50
Rate for Payer: MDX Hawaii PPO	$984.55

DRILL BIT 4.3X315 AO 703541

Facility

$888.00

Hospital Revenue Code	272
Min. Negotiated Rate	$754.80
Max. Negotiated Rate	$861.36
Rate for Payer: Cash Price	$532.80
Rate for Payer: Health Management Network Commercial	$754.80
Rate for Payer: Kaiser Permanente Commercial	$799.20
Rate for Payer: MDX Hawaii PPO	$861.36

DRILL BIT 4.3X315 AO 703541

Facility

$888.00

Hospital Revenue Code	272
Min. Negotiated Rate	$444.00
Max. Negotiated Rate	$861.36
Rate for Payer: AlohaCare Medicaid	$444.00
Rate for Payer: AlohaCare Medicare	$674.88
Rate for Payer: Cash Price	$532.80
Rate for Payer: Devoted Health Medicare	$745.92
Rate for Payer: Hawaii Medical Service Association Medicare	$674.88
Rate for Payer: Hawaii Western Management Group Commercial	$843.60
Rate for Payer: Health Management Network Commercial	$754.80
Rate for Payer: Humana Medicare	$674.88
Rate for Payer: Kaiser Permanente Commercial	$799.20
Rate for Payer: Kaiser Permanente Medicaid	$452.88
Rate for Payer: Kaiser Permanente Medicare	$674.88
Rate for Payer: MDX Hawaii PPO	$861.36
Rate for Payer: Ohana Health Plan Medicaid	$674.88
Rate for Payer: Ohana Health Plan Medicare	$674.88
Rate for Payer: UnitedHealthcare Medicare	$674.88
Rate for Payer: University Health Alliance Commercial	$647.26

DRILL BIT 4.5MM 180MM 700354

Facility

$824.00

Hospital Revenue Code	272
Min. Negotiated Rate	$700.40
Max. Negotiated Rate	$799.28
Rate for Payer: Cash Price	$494.40
Rate for Payer: Health Management Network Commercial	$700.40
Rate for Payer: Kaiser Permanente Commercial	$741.60
Rate for Payer: MDX Hawaii PPO	$799.28

DRILL BIT 4.5MM 180MM 700354

Facility

$824.00

Hospital Revenue Code	272
Min. Negotiated Rate	$412.00
Max. Negotiated Rate	$799.28
Rate for Payer: AlohaCare Medicaid	$412.00
Rate for Payer: AlohaCare Medicare	$626.24
Rate for Payer: Cash Price	$494.40
Rate for Payer: Devoted Health Medicare	$692.16
Rate for Payer: Hawaii Medical Service Association Medicare	$626.24
Rate for Payer: Hawaii Western Management Group Commercial	$782.80
Rate for Payer: Health Management Network Commercial	$700.40
Rate for Payer: Humana Medicare	$626.24
Rate for Payer: Kaiser Permanente Commercial	$741.60
Rate for Payer: Kaiser Permanente Medicaid	$420.24
Rate for Payer: Kaiser Permanente Medicare	$626.24
Rate for Payer: MDX Hawaii PPO	$799.28
Rate for Payer: Ohana Health Plan Medicaid	$626.24
Rate for Payer: Ohana Health Plan Medicare	$626.24
Rate for Payer: UnitedHealthcare Medicare	$626.24
Rate for Payer: University Health Alliance Commercial	$600.61

DRILL BIT 4.5x10MM #2318-45-06

Facility

$213.00

Hospital Revenue Code	272
Min. Negotiated Rate	$106.50
Max. Negotiated Rate	$206.61
Rate for Payer: AlohaCare Medicaid	$106.50
Rate for Payer: AlohaCare Medicare	$161.88
Rate for Payer: Cash Price	$127.80
Rate for Payer: Devoted Health Medicare	$178.92
Rate for Payer: Hawaii Medical Service Association Medicare	$161.88
Rate for Payer: Hawaii Western Management Group Commercial	$202.35
Rate for Payer: Health Management Network Commercial	$181.05
Rate for Payer: Humana Medicare	$161.88
Rate for Payer: Kaiser Permanente Commercial	$191.70
Rate for Payer: Kaiser Permanente Medicaid	$108.63
Rate for Payer: Kaiser Permanente Medicare	$161.88
Rate for Payer: MDX Hawaii PPO	$206.61
Rate for Payer: Ohana Health Plan Medicaid	$161.88
Rate for Payer: Ohana Health Plan Medicare	$161.88
Rate for Payer: UnitedHealthcare Medicare	$161.88
Rate for Payer: University Health Alliance Commercial	$155.26

DRILL BIT 4.5x10MM #2318-45-06

Facility

$213.00

Hospital Revenue Code	272
Min. Negotiated Rate	$181.05
Max. Negotiated Rate	$206.61
Rate for Payer: Cash Price	$127.80
Rate for Payer: Health Management Network Commercial	$181.05
Rate for Payer: Kaiser Permanente Commercial	$191.70
Rate for Payer: MDX Hawaii PPO	$206.61

DRILL BIT 4.5X195MM 310.48

Facility

$536.00

Hospital Revenue Code	272
Min. Negotiated Rate	$268.00
Max. Negotiated Rate	$519.92
Rate for Payer: AlohaCare Medicaid	$268.00
Rate for Payer: AlohaCare Medicare	$407.36
Rate for Payer: Cash Price	$321.60
Rate for Payer: Devoted Health Medicare	$450.24
Rate for Payer: Hawaii Medical Service Association Medicare	$407.36
Rate for Payer: Hawaii Western Management Group Commercial	$509.20
Rate for Payer: Health Management Network Commercial	$455.60
Rate for Payer: Humana Medicare	$407.36
Rate for Payer: Kaiser Permanente Commercial	$482.40
Rate for Payer: Kaiser Permanente Medicaid	$273.36
Rate for Payer: Kaiser Permanente Medicare	$407.36
Rate for Payer: MDX Hawaii PPO	$519.92
Rate for Payer: Ohana Health Plan Medicaid	$407.36
Rate for Payer: Ohana Health Plan Medicare	$407.36
Rate for Payer: UnitedHealthcare Medicare	$407.36
Rate for Payer: University Health Alliance Commercial	$390.69

DRILL BIT 4.5X195MM 310.48

Facility

$536.00

Hospital Revenue Code	272
Min. Negotiated Rate	$455.60
Max. Negotiated Rate	$519.92
Rate for Payer: Cash Price	$321.60
Rate for Payer: Health Management Network Commercial	$455.60
Rate for Payer: Kaiser Permanente Commercial	$482.40
Rate for Payer: MDX Hawaii PPO	$519.92

DRILL BIT 4.8/180MM 1-1102101

Facility

$527.00

Hospital Revenue Code	272
Min. Negotiated Rate	$447.95
Max. Negotiated Rate	$511.19
Rate for Payer: Cash Price	$316.20
Rate for Payer: Health Management Network Commercial	$447.95
Rate for Payer: Kaiser Permanente Commercial	$474.30
Rate for Payer: MDX Hawaii PPO	$511.19

DRILL BIT 4.8/180MM 1-1102101

Facility

$527.00

Hospital Revenue Code	272
Min. Negotiated Rate	$263.50
Max. Negotiated Rate	$511.19
Rate for Payer: AlohaCare Medicaid	$263.50
Rate for Payer: AlohaCare Medicare	$400.52
Rate for Payer: Cash Price	$316.20
Rate for Payer: Devoted Health Medicare	$442.68
Rate for Payer: Hawaii Medical Service Association Medicare	$400.52
Rate for Payer: Hawaii Western Management Group Commercial	$500.65
Rate for Payer: Health Management Network Commercial	$447.95
Rate for Payer: Humana Medicare	$400.52
Rate for Payer: Kaiser Permanente Commercial	$474.30
Rate for Payer: Kaiser Permanente Medicaid	$268.77
Rate for Payer: Kaiser Permanente Medicare	$400.52
Rate for Payer: MDX Hawaii PPO	$511.19
Rate for Payer: Ohana Health Plan Medicaid	$400.52
Rate for Payer: Ohana Health Plan Medicare	$400.52
Rate for Payer: UnitedHealthcare Medicare	$400.52
Rate for Payer: University Health Alliance Commercial	$384.13

DRILL BIT 4.8/280MM 1-1101201

Facility

$527.00

Hospital Revenue Code	272
Min. Negotiated Rate	$263.50
Max. Negotiated Rate	$511.19
Rate for Payer: AlohaCare Medicaid	$263.50
Rate for Payer: AlohaCare Medicare	$400.52
Rate for Payer: Cash Price	$316.20
Rate for Payer: Devoted Health Medicare	$442.68
Rate for Payer: Hawaii Medical Service Association Medicare	$400.52
Rate for Payer: Hawaii Western Management Group Commercial	$500.65
Rate for Payer: Health Management Network Commercial	$447.95
Rate for Payer: Humana Medicare	$400.52
Rate for Payer: Kaiser Permanente Commercial	$474.30
Rate for Payer: Kaiser Permanente Medicaid	$268.77
Rate for Payer: Kaiser Permanente Medicare	$400.52
Rate for Payer: MDX Hawaii PPO	$511.19
Rate for Payer: Ohana Health Plan Medicaid	$400.52
Rate for Payer: Ohana Health Plan Medicare	$400.52
Rate for Payer: UnitedHealthcare Medicare	$400.52
Rate for Payer: University Health Alliance Commercial	$384.13

DRILL BIT 4.8/280MM 1-1101201

Facility

$527.00

Hospital Revenue Code	272
Min. Negotiated Rate	$447.95
Max. Negotiated Rate	$511.19
Rate for Payer: Cash Price	$316.20
Rate for Payer: Health Management Network Commercial	$447.95
Rate for Payer: Kaiser Permanente Commercial	$474.30
Rate for Payer: MDX Hawaii PPO	$511.19

DRILL BIT 4.8/280MM 1-1102701

Facility

$527.00

Hospital Revenue Code	272
Min. Negotiated Rate	$263.50
Max. Negotiated Rate	$511.19
Rate for Payer: AlohaCare Medicaid	$263.50
Rate for Payer: AlohaCare Medicare	$400.52
Rate for Payer: Cash Price	$316.20
Rate for Payer: Devoted Health Medicare	$442.68
Rate for Payer: Hawaii Medical Service Association Medicare	$400.52
Rate for Payer: Hawaii Western Management Group Commercial	$500.65
Rate for Payer: Health Management Network Commercial	$447.95
Rate for Payer: Humana Medicare	$400.52
Rate for Payer: Kaiser Permanente Commercial	$474.30
Rate for Payer: Kaiser Permanente Medicaid	$268.77
Rate for Payer: Kaiser Permanente Medicare	$400.52
Rate for Payer: MDX Hawaii PPO	$511.19
Rate for Payer: Ohana Health Plan Medicaid	$400.52
Rate for Payer: Ohana Health Plan Medicare	$400.52
Rate for Payer: UnitedHealthcare Medicare	$400.52
Rate for Payer: University Health Alliance Commercial	$384.13

DRILL BIT 4.8/280MM 1-1102701

Facility

$527.00

Hospital Revenue Code	272
Min. Negotiated Rate	$447.95
Max. Negotiated Rate	$511.19
Rate for Payer: Cash Price	$316.20
Rate for Payer: Health Management Network Commercial	$447.95
Rate for Payer: Kaiser Permanente Commercial	$474.30
Rate for Payer: MDX Hawaii PPO	$511.19

DRILL BIT 4.9MM 6.5/8.0 702601

Facility

$1,517.00

Hospital Revenue Code	272
Min. Negotiated Rate	$758.50
Max. Negotiated Rate	$1,471.49
Rate for Payer: AlohaCare Medicaid	$758.50
Rate for Payer: AlohaCare Medicare	$1,152.92
Rate for Payer: Cash Price	$910.20
Rate for Payer: Devoted Health Medicare	$1,274.28
Rate for Payer: Hawaii Medical Service Association Medicare	$1,152.92
Rate for Payer: Hawaii Western Management Group Commercial	$1,441.15
Rate for Payer: Health Management Network Commercial	$1,289.45
Rate for Payer: Humana Medicare	$1,152.92
Rate for Payer: Kaiser Permanente Commercial	$1,365.30
Rate for Payer: Kaiser Permanente Medicaid	$773.67
Rate for Payer: Kaiser Permanente Medicare	$1,152.92
Rate for Payer: MDX Hawaii PPO	$1,471.49
Rate for Payer: Ohana Health Plan Medicaid	$1,152.92
Rate for Payer: Ohana Health Plan Medicare	$1,152.92
Rate for Payer: UnitedHealthcare Medicare	$1,152.92
Rate for Payer: University Health Alliance Commercial	$1,105.74

DRILL BIT 4.9MM 6.5/8.0 702601

Facility

$1,517.00

Hospital Revenue Code	272
Min. Negotiated Rate	$1,289.45
Max. Negotiated Rate	$1,471.49
Rate for Payer: Cash Price	$910.20
Rate for Payer: Health Management Network Commercial	$1,289.45
Rate for Payer: Kaiser Permanente Commercial	$1,365.30
Rate for Payer: MDX Hawaii PPO	$1,471.49

DRILL BIT 5.0 126MM 03.008.008

Facility

$1,019.00

Hospital Revenue Code	272
Min. Negotiated Rate	$866.15
Max. Negotiated Rate	$988.43
Rate for Payer: Cash Price	$611.40
Rate for Payer: Health Management Network Commercial	$866.15
Rate for Payer: Kaiser Permanente Commercial	$917.10
Rate for Payer: MDX Hawaii PPO	$988.43

DRILL BIT 5.0 126MM 03.008.008

Facility

$1,019.00

Hospital Revenue Code	272
Min. Negotiated Rate	$509.50
Max. Negotiated Rate	$988.43
Rate for Payer: AlohaCare Medicaid	$509.50
Rate for Payer: AlohaCare Medicare	$774.44
Rate for Payer: Cash Price	$611.40
Rate for Payer: Devoted Health Medicare	$855.96
Rate for Payer: Hawaii Medical Service Association Medicare	$774.44
Rate for Payer: Hawaii Western Management Group Commercial	$968.05
Rate for Payer: Health Management Network Commercial	$866.15
Rate for Payer: Humana Medicare	$774.44
Rate for Payer: Kaiser Permanente Commercial	$917.10
Rate for Payer: Kaiser Permanente Medicaid	$519.69
Rate for Payer: Kaiser Permanente Medicare	$774.44
Rate for Payer: MDX Hawaii PPO	$988.43
Rate for Payer: Ohana Health Plan Medicaid	$774.44
Rate for Payer: Ohana Health Plan Medicare	$774.44
Rate for Payer: UnitedHealthcare Medicare	$774.44
Rate for Payer: University Health Alliance Commercial	$742.75

DRILL BIT 5.0MM PRECISION

Facility

$894.00

Hospital Revenue Code	272
Min. Negotiated Rate	$759.90
Max. Negotiated Rate	$867.18
Rate for Payer: Cash Price	$536.40
Rate for Payer: Health Management Network Commercial	$759.90
Rate for Payer: Kaiser Permanente Commercial	$804.60
Rate for Payer: MDX Hawaii PPO	$867.18

DRILL BIT 5.0MM PRECISION

Facility

$894.00

Hospital Revenue Code	272
Min. Negotiated Rate	$447.00
Max. Negotiated Rate	$867.18
Rate for Payer: AlohaCare Medicaid	$447.00
Rate for Payer: AlohaCare Medicare	$679.44
Rate for Payer: Cash Price	$536.40
Rate for Payer: Devoted Health Medicare	$750.96
Rate for Payer: Hawaii Medical Service Association Medicare	$679.44
Rate for Payer: Hawaii Western Management Group Commercial	$849.30
Rate for Payer: Health Management Network Commercial	$759.90
Rate for Payer: Humana Medicare	$679.44
Rate for Payer: Kaiser Permanente Commercial	$804.60
Rate for Payer: Kaiser Permanente Medicaid	$455.94
Rate for Payer: Kaiser Permanente Medicare	$679.44
Rate for Payer: MDX Hawaii PPO	$867.18
Rate for Payer: Ohana Health Plan Medicaid	$679.44
Rate for Payer: Ohana Health Plan Medicare	$679.44
Rate for Payer: UnitedHealthcare Medicare	$679.44
Rate for Payer: University Health Alliance Commercial	$651.64

Know your out-of-pocket cost for care.

All Charges